FALL and ACIPHEX

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FALL Symptoms and Causes

Falls can be dangerous at any age. Babies and young children can get hurt Falling off furniture or down the stairs. Older children may Fall off playground equipment. For elderly people, Falls can be especially serious. They are at higher risk of Falling. They are also more likely to break a bone when they Fall, especially if they have osteoporosis. A broken bone, especially when it is a hip, may even lead to disability and a loss of independence for the elderly.

Some common causes of Falls include

Balance problems

Some medicines, which can make you feel dizzy, confused, or slow

Vision problems

Alcohol, which can affect your balance and reflexes

Muscle weakness, especially in your legs, which can make it harder for you to get up from a chair or keep your balance when walking on an uneven surface.

Certain illnesses, such as low blood pressure, diabetes, and neuropathy

Slow reflexes, which make it hard to keep your balance or move out of the way of a hazard

Tripping or slipping due to loss of footing or traction

At any age, people can make changes to lower their risk of Falling. It important to take care of your health, including getting regular eye exams. Regular exercise may lower your risk of Falls by strengthening your muscles, improving your balance, and keeping your bones strong. And you can look for ways to make your house safer. For example, you can get rid of tripping hazards and make sure that you have rails on the stairs and in the bath. To reduce the chances of breaking a bone if you do Fall, make sure that you get enough calcium and vitamin D.

FALL Clinical Trials and Studies

Treatments might be new drugs or new combinations of drugs, new surgical procedures or devices, or new ways to use existing treatments. The goal of clinical trials is to determine if a new test or treatment works and is safe. Clinical trials can also look at other aspects of care, such as improving the quality of life for people with chronic illnesses. People participate in clinical trials for a variety of reasons. Healthy volunteers say they participate to help others and to contribute to moving science forward. Participants with an illness or disease also participate to help others, but also to possibly receive the newest treatment and to have the additional care and attention from the clinical trial staff.

Perceived risk for Falls grouped according to the nurses assessment of risk using the University Hospitals (UH) Falls Assessment Tool; Confidence to minimize Falls assessed using the UH Falls Assessment Tool and the investigator-constructed Perceived Risk Survey (Nurse version); Willingness to call for assistance; Relationship between patients perceived risk for Falls and nurses risk assessments; Patient's satisfaction of the intervention using the final questions on the Perceived Risk Post-Survey

Frequence of Falls will be measured with a monthly Fall-calender; Fall-related injuries will be measured by telephone interviews.; Physical performance will be measured with Short Physical Performance Battery (SPPB); Dynamic balance will be assessed with Mini-BESTest

To evaluate the effectiveness of a customised multifactorial intervention in reducing Falls and Falls related injury rates, compared to "usual care".; To accurately identify the circumstances, contributory factors and consequences of Falls for older people presenting to Emergency Departments following a Fall.; To evaluate the effectiveness of the intervention program in improving secondary health and well-being measures, including physical, psychological (fear of Falling, depression), and quality of life indices.; To identify the physical, functional, and cognitive (executive function) parameters most strongly associated with good outcomeTo conduct an economic evaluation of the interventions and outcomes.; To provide guidelines for future management of high risk older people presenting to Emergency departments.

If you think you may have a medical emergency, call your doctor or 911 immediately.

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